Organization
FAYETTEVILLE NEUROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN BROWN (OFFICE MANAGER)
(910) 222-2202
Entity
Organization
Contact information
Practice address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 222-2202
Mailing address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015HJ
BCBS
NC
05
—
89015HJ
—
NC
Enumeration date
09/22/2006
Last updated
09/30/2013
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